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Trauma disparities

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https://www.readbyqxmd.com/read/29627104/a-systematic-review-of-social-stress-and-mental-health-among-transgender-and-gender-non-conforming-people-in-the-united-states
#1
REVIEW
Sarah E Valentine, Jillian C Shipherd
Transgender and gender non-conforming (TGNC) populations, including those who do not identify with gender binary constructs (man or woman) are increasingly recognized in health care settings. Research on the health of TGNC people is growing, and disparities are often noted. In this review, we examine 77 studies published between January 1, 1997 and March 22, 2017 which reported mental health outcomes in TGNC populations to (a) characterize what is known about mental health outcomes and (b) describe what gaps persist in this literature...
March 28, 2018: Clinical Psychology Review
https://www.readbyqxmd.com/read/29608087/raising-voices-a-commentary-on-say-their-names-by-sandhira-wijayaratne
#2
Tanya M White-Davis, Kathryn Fraser, David D Henderson
Comments on a poem by Sandhira Wijayaratne (see record 2018-12809-007). This poem uses the power of language to speak to the consequences of silence and complacency and points to the role of healers in the social narrative. In his work, Wijayaratne highlights the structural and systemic racism that plagues our nation today, and affects our work as healthcare providers. "Say Their Names" represents a timely contribution to this field and echoes much of the current national discourse around racial oppression...
March 2018: Families, Systems & Health: the Journal of Collaborative Family Healthcare
https://www.readbyqxmd.com/read/29606410/disparities-in-pediatric-gonadal-torsion-does-gender-race-and-insurance-status-affect-outcomes
#3
Jessica L Buicko, Shevonne S Satahoo, Krishnamurti A Rao, Juan E Sola, Holly L Neville
PURPOSE: Ovarian and testicular torsions are emergencies requiring prompt surgical treatment to preserve gonadal function. However, diagnosis in females is often delayed owing to nonspecific symptoms. We sought to assess disparities in management and outcomes between males and females with torsion. METHODS: The National Inpatient Sample was queried for pediatric patients with "emergent", "urgent", or "trauma center" admission and ICD-9 codes for ovarian torsion and testicular torsion...
February 12, 2018: Journal of Pediatric Surgery
https://www.readbyqxmd.com/read/29606408/racial-and-ethnic-disparities-and-bias-in-the-evaluation-and-reporting-of-abusive-head-trauma
#4
Kent P Hymel, Antoinette L Laskey, Kathryn R Crowell, Ming Wang, Veronica Armijo-Garcia, Terra N Frazier, Kelly S Tieves, Robin Foster, Kerri Weeks
OBJECTIVE: To characterize racial and ethnic disparities in the evaluation and reporting of suspected abusive head trauma (AHT) across the 18 participating sites of the Pediatric Brain Injury Research Network (PediBIRN). We hypothesized that such disparities would be confirmed at multiple sites and occur more frequently in patients with a lower risk for AHT. STUDY DESIGN: Aggregate and site-specific analysis of the cross-sectional PediBIRN dataset, comparing AHT evaluation and reporting frequencies in subpopulations of white/non-Hispanic and minority race/ethnicity patients with lower vs higher risk for AHT...
March 29, 2018: Journal of Pediatrics
https://www.readbyqxmd.com/read/29603550/the-links-between-adult-attachment-and-post-traumatic-stress-a-systematic-review
#5
REVIEW
Natalie Barazzone, Ines Santos, John McGowan, Eloise Donaghay-Spire
PURPOSE: The theory of attachment has informed our understanding of survival and well-being throughout the lifespan. There is a growing interest in the relationship between attachment and symptoms of post-traumatic stress (PTS). Emerging evidence points to important links between attachment and PTS, yet current theoretical and clinical understandings of PTS symptoms and attachment remain relatively disparate. The current systematic review aimed to synthesize, describe, and critique evidence demonstrating the links between attachment and PTS in adults...
March 30, 2018: Psychology and Psychotherapy
https://www.readbyqxmd.com/read/29560058/inpatient-trauma-mortality-after-implementation-of-the-affordable-care-act-in-illinois
#6
Paul L Weygandt, Scott M Dresden, Emilie S Powell, Joe Feinglass
Introduction: Illinois hospitals have experienced a marked decrease in the number of uninsured patients after implementation of the Affordable Care Act (ACA). However, the full impact of health insurance expansion on trauma mortality is still unknown. The objective of this study was to determine the impact of ACA insurance expansion on trauma patients hospitalized in Illinois. Methods: We performed a retrospective cohort study of 87,001 trauma inpatients from third quarter 2010 through second quarter 2015, which spans the implementation of the ACA in Illinois...
March 2018: Western Journal of Emergency Medicine
https://www.readbyqxmd.com/read/29546441/changes-in-trauma-admission-rates-and-mechanisms-during-recession-and-recovery-evidence-from-the-detroit-metropolitan-area
#7
Kimberly Coughlin, R David Hayward, Mary Fessler, Elango Edhayan
OBJECTIVES: Although individual socioeconomic status has been linked with risk of traumatic injury, there has been relatively little research into the question of how economic changes may impact trauma admission rates in neighborhoods with different socioeconomic backgrounds. METHODS: This study pairs ZIP code-level data on trauma admissions with county-level data on unemployment to assess differences in the type of changes experienced in more and less affluent neighborhoods of the Detroit metropolitan area between 2006 and 2014...
March 15, 2018: International Journal of Public Health
https://www.readbyqxmd.com/read/29538227/mapping-areas-with-concentrated-risk-of-trauma-mortality-a-first-step-toward-mitigating-geographic-and-socioeconomic-disparities-in-trauma
#8
Molly P Jarman, Elliott R Haut, Frank C Curriero, Renan C Castillo
BACKGROUND: Many rural, low income, and historically underrepresented minority communities lack access to trauma center services, including surgical care and injury prevention efforts. Along with features of the built and social environment at injury incident locations, geographic barriers to trauma center services may contribute to injury disparities. This study sought to classify injury event locations based on features of the built and social environment at the injury scene, and to examine patterns in individual patient demographics, injury characteristics, and mortality by location class...
March 12, 2018: Journal of Trauma and Acute Care Surgery
https://www.readbyqxmd.com/read/29521781/a-descriptive-analysis-of-etoh-intoxication-in-our-latino-trauma-patients-an-indication-for-a-preventive-program
#9
Anthony Kopatsis, Christine Wagner, Helen Costello, Nicholas Morin, Katherine Elizabeth Kopatsis, Mario Gomez
We sought to determine patterns of injury in our Latino trauma community targeting alcohol (EtOH) intoxication as an influential variable. With the information gained in our culturally specific and culturally sensitive trauma community, we can use the information to fine-tune our trauma preventive medicine programs. Trauma injuries are the third largest contributor to racial disparities in the United States. Alcohol is involved in approximately half of all trauma admissions to trauma centers around the country...
March 2018: Journal of Trauma Nursing: the Official Journal of the Society of Trauma Nurses
https://www.readbyqxmd.com/read/29514550/racial-differences-in-children-s-trauma-symptoms-following-complex-trauma-exposure
#10
Rachel Wamser-Nanney, Kathryn E Cherry, Claudia Campbell, Elise Trombetta
Complex trauma exposure has been defined as multiple or chronic interpersonal trauma that begins early in life, which leads to widespread dysregulation. Previous studies have reported that minorities may be at greater risk for trauma exposure and symptoms; yet, racial differences have not been investigated in the context of complex trauma. The aim of the present study was to determine if there are racial disparities in children's trauma exposure and outcomes among 167 child survivors of complex trauma (3-18 years, M = 9...
March 1, 2018: Journal of Interpersonal Violence
https://www.readbyqxmd.com/read/29514348/causes-of-oral-maxillofacial-injury-of-u-s-military-personnel-in-iraq-and-afghanistan-2001-2014
#11
Timothy A Mitchener, Noel E Dickens, John W Simecek
Background: Few studies have examined the causes or mechanisms of oral-maxillofacial (OMF) injury among deployed military populations. This study reports causes of OMF injuries to U.S. Department of Defense personnel deployed to Afghanistan in Operation Enduring Freedom (OEF) or to Iraq in Operation Iraqi Freedom (OIF) and Operation New Dawn (OND). This study provides follow-on analysis of a previous report of OMF injury rates among U.S. military personnel in Iraq and Afghanistan from 2001 to 2014...
March 1, 2018: Military Medicine
https://www.readbyqxmd.com/read/29506834/socioeconomic-disparities-in-the-thoracic-trauma-population
#12
Krista L Haines, Tiffany Zens, Megan Beems, Ryan Rauh, Hee Soo Jung, Suresh Agarwal
BACKGROUND: Health-care disparities based on socioeconomic status have been well documented in the trauma literature; however, there is a paucity of data on how these factors affect outcomes in patients experiencing severe thoracic trauma. This study aims to identify the effect of insurance status and race on patient mortality and disposition after thoracic trauma. METHODS: The National Trauma Data Bank was queried from 2007 to 2012 for patients with sternal fractures, rib fractures, and flailed chest...
April 2018: Journal of Surgical Research
https://www.readbyqxmd.com/read/29505367/how-community-organizing-promotes-health-equity-and-how-health-equity-affects-organizing
#13
Manuel Pastor, Veronica Terriquez, May Lin
Public health scholarship increasingly recognizes community organizing as a vehicle for unleashing the collective power necessary to uproot socioeconomic inequities at the core of health disparities. In this article we reverse the analytical focus from how organizing can affect health equity, and we consider how the frame of health equity has shaped grassroots organizing. Using evidence from a range of cases in California, we suggest that the health equity frame can guide and justify grassroots groups' efforts to improve the health outcomes of marginalized populations; connect issues such as housing and school discipline to health; and provide a rationale for community organizing groups to directly address the trauma experienced by their own members and staff, who often come from communities at risk for poor health outcomes...
March 2018: Health Affairs
https://www.readbyqxmd.com/read/29498981/anatomic-considerations-for-temporomandibular-joint-vascularized-composite-allotransplantation
#14
Nima Khavanin, Edward H Davidson, Diana Y Lee, Patrick Byrne, Amir H Dorafshar
Concomitant temporomandibular joint (TMJ) transplantation is an obvious advancement in the reconstructive armamentarium for face transplantation in scenarios involving TMJ ankylosis. This study investigates the fidelity of mandibular morphology and explores the feasibility of bilateral mandibular condyle transfer in facial vascularized composite allotransplantation. Geometric analysis was performed on 100 skeletally mature maxillofacial computed tomography scans. Exclusion criteria included mandibular trauma and dentoalveolar disease...
March 1, 2018: Journal of Craniofacial Surgery
https://www.readbyqxmd.com/read/29490467/the-association-between-discrimination-and-ptsd-in-african-americans-exploring-the-role-of-gender
#15
Stephanie Brooks Holliday, Tamara Dubowitz, Ann Haas, Bonnie Ghosh-Dastidar, Amy DeSantis, Wendy M Troxel
BACKGROUND: Research has demonstrated the adverse impact that discrimination has on physical and mental health. However, few studies have examined the association between discrimination and symptoms of posttraumatic stress disorder (PTSD). There is evidence that African Americans experience higher rates of PTSD and are more likely to develop PTSD following trauma exposure than Whites, and discrimination may be one reason for this disparity. PURPOSE: To examine the association between discrimination and PTSD among a cross-sectional sample largely comprising African American women, controlling for other psychosocial stressors (psychological distress, neighborhood safety, crime)...
February 28, 2018: Ethnicity & Health
https://www.readbyqxmd.com/read/29484938/the-spectrum-and-outcome-of-blunt-trauma-related-enteric-hollow-visceral-injury
#16
W Bekker, V Y Kong, G L Laing, J L Bruce, V Manchev, D L Clarke
Introduction This audit focused on patients who sustained enteric injury following blunt abdominal trauma. Methods Our prospectively maintained electronic registry was interrogated retrospectively, and all patients who had sustained blunt abdominal trauma between December 2011 and January 2016 were identified. Results Overall, 2,045 patients had sustained blunt abdominal trauma during the period under review. Seventy per cent were male. The median age was 28 years. Sixty patients (2.9%) sustained a small bowel injury (SBI)...
February 27, 2018: Annals of the Royal College of Surgeons of England
https://www.readbyqxmd.com/read/29438226/racial-differences-in-presentations-and-predictors-of-acute-pain-following-motor-vehicle-collision
#17
Francesca L Beaudoin, Roee Gutman, Wanting Zhai, Roland C Merchant, Melissa A Clark, Kenneth A Bollen, Phyllis Hendry, Michael C Kurz, Christopher Lewandowski, Claire Pearson, Brian O'Neil, Elizabeth Datner, Patricia Mitchell, Robert Domeier, Samuel A McLean
African-Americans experience a greater burden of acute pain than non-Hispanic white individuals across of variety of acute medical conditions, but it is unknown if this is the case following trauma. We evaluated pain, pain-related characteristics (e.g. peri-traumatic distress), and analgesic treatment in two cohorts of individuals (African-American (n=931) and non-Hispanic white (n=948)) presenting to the emergency department after a motor-vehicle crash (MVC). We performed a propensity-matched analysis (n=796 in each group) to assess racial differences in acute pain in the ED...
February 9, 2018: Pain
https://www.readbyqxmd.com/read/29434541/the-influence-of-early-life-experience-on-visceral-pain
#18
REVIEW
Isabella M Fuentes, Julie A Christianson
Pain is the most reported and troublesome symptom of nearly all functional disorders affecting the genitourinary and gastrointestinal organs. Patients with irritable bowel syndrome (IBS), interstitial cystitis/painful bladder syndrome (IC/PBS), vulvodynia, and/or chronic prostatitis/chronic pelvic pain syndrome (CP/CPPS; collectively termed chronic pelvic pain syndromes) report pain severe enough to impact quality of life and often suffer from symptoms of or are diagnosed with more than one of these syndromes...
2018: Frontiers in Systems Neuroscience
https://www.readbyqxmd.com/read/29429858/-neuropathology-of-sudden-infant-death-syndrome-review-of-the-literature-and-proposal-of-a-protocol-for-neuropathological-examination
#19
Clémence Delteil, David Meyronet, Andre Maues de Paula, Anne Jouvet, Marie-Dominique Piercecchi-Marti
According to the French High Authority for Health, sudden unexpected death in infants (SUDI) is defined as "a sudden death that occurs in an infant, whereas nothing in its known history could have predicted it". This is an exclusion diagnosis. There are great interregional disparities despite the professional recommendations established in February 2007. For the examination of the brain, instructions are not adapted to current and research practice. The role of the pathologist, like anyone involved in SUDI, is to eliminate an abuse head trauma and to determine the cause of death...
February 8, 2018: Annales de Pathologie
https://www.readbyqxmd.com/read/29395020/facility-disparities-in-reporting-comorbidities-to-the-national-trauma-data-bank
#20
Ryan Fransman, Alistair J Kent, Elliott R Haut, A Reema Kar, Joseph V Sakran, Kent Stevens, David T Efron, Christian Jones
BACKGROUND: The National Trauma Data Bank (NTDB) includes patient comorbidities. This study evaluates factors of trauma centers associated with higher rates of missing comorbidity data. METHODS: Proportions of missing comorbidity data from facilities in the NTDB from 2011 to 2014 were evaluated for associations with facility characteristics. Proportional impact analysis was performed to identify potential policy targets. RESULTS: Of 919 included facilities, 85% reported comorbidity data in 95% or more cases; only 31...
January 27, 2018: American Journal of Surgery
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